Individual provider · Type 1 NPI
Kelly Renee Zimmerman, AADCP-IP
Religious Nonmedical Practitioner · Boiling Springs, SC
NPI number
1609215227
Active
Practice location
706 Waxwing Ct
Boiling Springs, SC 29316-5379
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Religious Nonmedical Practitioner Primary | 374K00000X | None listed |
Religious Nonmedical Practitioner: A religious nonmedical practitioner offers spiritually-based care. Services may be rendered in an office, home, or care facility or by phone, email, or written correspondence.
About NPI 1609215227
Kelly Renee Zimmerman, AADCP-IP's National Provider Identifier is 1609215227, issued on Jun 17, 2013. The primary taxonomy on file is Religious Nonmedical Practitioner (374K00000X), and the practice location is in Boiling Springs, SC. The record was last updated on Oct 18, 2023.